Guidehouse’s cross functional pharmacy team supports client’s needs across all government programs – Medicare Parts C and D, Medicaid, SCHIP, DOD/TRICARE, VA and IHS - as well as the continuum of payers, providers, suppliers and administrators in the pharmacy space. We combine data analytics with strong technical and clinical experience for our work in prescription drug benefit contracting, fulfillment, billing and operations, strategic pharmacy pricing, specialty pharmacy services, and medication therapy management. Our solutions include:
Disputes & Forensics
Guidehouse quickly and efficiently helps clients analyze, understand and resolve complex disputes and issues encountered in the defense and prevention of government investigations, qui tam actions or compliance initiatives.
Risk, Regulatory & Compliance
We help clients navigate the complex regulatory and compliance environment in which they operate, addressing their most high risk areas of operations and compliance including, Most Favored Nation (MFN) pricing, manufacturer coupon use, promotional gift cards, narrowing networks and oversight of downstream entities.
Cost Reduction, Clinical Implementation, and Specialty Strategy
Guidehouse assists clients in analyzing, mapping, and optimizing the entire pharmacy revenue cycle, as well as reducing overall expenditures, and supporting clients in business strategy development and implementation.
We combine data and forensic expertise with deep industry knowledge to help companies prepare for and respond to information security events.